Individual
DIANA GARCIA REYNOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACSW
Contact information
Practice address
15345 BONANZA RD, VICTORVILLE, CA 92392-2499
(760) 552-6600
Mailing address
15345 BONANZA RD, VICTORVILLE, CA 92392-2499
(760) 552-6600
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
124250
CA
Other
Enumeration date
09/11/2024
Last updated
10/18/2024
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